Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

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7.5.4 Acting on feedbackBoard of Directors Meeting, 29 March 2012Agenda Item 7Clinical Directorate governance groups routinely consider comments, concerns,complaints, the results of the survey and other forms of feedback. It is theirresponsibility to review, investigate and take action as appropriate. Examples of serviceimprovements resulting from feedback during quarter 3 include:The introduction of a range of information, including Looking after yourself , FiveWays, and leaflets for Early Discharge, the Perinatal Service and DAS. The latterhas been distributed to GP surgeries to promote self referral and changes incontact details and involved people in its drafting.The development of an information pack produced for people using ForensicServices as well as friends and family pack. The pack and newsletter has beensent to all those on the approved visitor list for Langdon Hospital.Choice and medication website introduced.Review of ‘customer care’ training resulting in the introduction of ‘MixedMessages’ in 2012. This is now core e-learning for all staff.8. Engaging people with service development and improvement8.1 NHS organisations have a statutory duty to involve people (directly or throughrepresentatives), in the planning of healthcare services, in the development andconsideration of proposals for changes in the way those services are provided and indecisions affecting the operation of those services.8.2 The principle forum for engagement of people, including FT members, is the NetworkAction Group (NAG). The objectives of NAGs are to: Provide information about national, local and Trust developments. Encourage feedback about the quality of services. Encourage feedback about proposed service development or change. Offer partner organisations an opportunity to promote their services and engage indiscussions about integrated care pathways. Provide the opportunity for people to meet with senior staff.8.3 In Quarter 3 the planned Network Action Groups were postponed; meetings willcontinue from Quarter 4. During this period the Trust has continued to support otheractivities to ensure people influence Trust policy and service development, including: Informing FT members and other stakeholders through mail outs, providing furtheropportunities for people to become directly engaged. Involving people through focussed activity, such as the Quality Improvement andSafety meetings. Routine liaison with a range of stakeholders, including Be Involved Devon and‘carer’ representatives across Devon and Torbay. The latter has resulted in theagreement of a Carers Charter that will be implemented by the Trust from April2012. Establishing liaison meetings with Devon LINk to provide a more focussedapproach to issues raised by their participants. Future meetings will includeproviding updates on service developments within DAS, and OPMH which havebeen the subject of Devon LINk project work. Establishing a liaison with the Patients’ Association (PA) which is now operationalin the South West. As a result, the PA is project managing work aimed atimproving information to people about medication.Page 46 of 156
9. Infection prevention and controlBoard of Directors Meeting, 29 March 2012Agenda Item 79.1 The Trust has a dedicated infection prevention and control team available 24 hours aday/7 days a week via an SLA with the Royal Devon and Exeter Foundation Trust,reporting directly to the Trust’s Director of Infection Control (DIPC). The infectioncontrol committee has representation from all directorates and professions. Thecommittee meets quarterly and reports to the Quality and Safety committee via theSafety and Risk Committee. The Board of Directors have approved the 2011/12 annualinfection prevention and control programme of activity which is mapped to the Code ofPractice for health and social care on the prevention and control of infections andrelated guidance, and received and approved the 2010/11 annual report.9.2 Key Points9.2.1 Progress against the annual plan: Performance data continues to be provided monthly. Hand hygiene monitoringcontinues, the reduction in monthly hand hygiene returns was discussed, andMatrons were asked to discuss with ward managers the option of link practitionershaving protected time to complete audits. Compliance was at or above 85% in allareas, although for technique this was below 85% in the older peoples’ directorateand is being addressed through education. The infection prevention and control team (IPCT) continues to have considerableto building projects (Haldon, HMP Exeter, Langdon) to ensure compliance withInfection Control in the built environment and other standards. Five infection control policies were reviewed as per schedule and the hotelservices cleaning policy was brought to the committee for approval. This wasthen forwarded to the Safety and Risk committee and should be ratified by theBoard of Directors. Planned activities to assess infection prevention and control standards in relationto home visits and community work will now take place in March and April 2012.Activities are planned to improve awareness of the importance of IPC in thesesettings and to assess current practice. Further link practitioners or key contactsare being sought to co-ordinate these activities.The draft risk assessment audit was presented. Overall the compliance rate forcompleting an infection control risk assessment audit was only 26.5% (althoughthe range was 0% to 100%). In response to the poor completion of hard copyforms, a care plan on RiO has been developed, and will be trialled in the NorthDevon units and then rolled out Trust-wide. The guidance will be re-issued and arapid reminder sent to all other areas in the meantime.9.2.2 E-learning and Other Training9.2.3 Audit reportsCore training (e-learning) will become 3 yearly from 2012. Face to face trainingwill continue to be annual requirement for all in-patient and medical staff throughdirectorate training plans. Current compliance with e-learning is high; the Teamare working with units to actively improve compliance with face to face training.Plans are already in place to ensure medical staff have face to face training fromApril. This will be provided through MAC as well as on induction.Annual infection control audits should now inform the PCA process rather than askingfor duplicate action plans to be returned. This quarter showed improved compliancewith this process, although not universal, and this will be discussed again at TrustManagement Board.Page 47 of 156
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